Individual provider Active NPI

Maria C Del Rosario-Guzman, MD

  • Diagnostic Radiology Physician
  • Caguas, PR
National Provider Identifier
1750495560
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4003 Issued in PR
Practice address
50 Luis Munoz Marin Ave
Quadrangle Medical Center, Suites 207-209, 202
Caguas, PR 00725-3975
Phone
(787) 746-1688
Fax
(787) 703-0010
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 4003 PR
Diagnostic Radiology Physician 2085R0202X 4003 PR Primary

Addresses

Primary practice location

50 Luis Munoz Marin Ave
Quadrangle Medical Center, Suites 207-209, 202
Caguas, PR 00725-3975

Mailing address

Calle Arterial B #576
Cond. Coliseum Tower Apt. 602
San Juan, PR 00918-2200
Phone (939) 717-6869

Other identifiers 6

IdentifierTypeStateIssuer
1750495560OtherHUMANA
1750495560OtherINTERNATIONAL MEDICAL CARD
1750495560OtherMAPFRE
1750495560OtherMCS
55908OtherPRTRIPLE S
039327100MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000183 PR Practitioner - Diagnostic Radiology 2961671284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologia del Turabo, C.S.P.Group PAC ID 7810134699, 11 clinicians
Sono X Ray Radiology GroupGroup PAC ID 6406750769, 15 clinicians

Practice addresses (Care Compare)

50 Ave Luis Munoz
Suite 209
Caguas, PR 00725-3981
Phone 7877461688240

50 Ave Luis Munoz Marin
Suite 107 108
Caguas, PR 00725-3975
Phone (787) 746-1688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4003PRMDSpeech-Language Pathologist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1750495560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ARTERIAL B #576",
            "address_2": "COND. COLISEUM TOWER APT. 602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182200",
            "telephone_number": "939-717-6869",
            "fax_number": "787-703-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LUIS MUNOZ MARIN AVE",
            "address_2": "QUADRANGLE MEDICAL CENTER, SUITES 207-209, 202",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253975",
            "telephone_number": "787-746-1688",
            "fax_number": "787-703-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO-GUZMAN",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "4003",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "4003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1750495560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CARD",
            "identifier": "1750495560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "1750495560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "1750495560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "55908",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039327100",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.